Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis management aspergillus association betadglucan biomarkers bleeding cdifficile class clindamycin debridement ebm emergencies evidence febrile fever fungal galactomannan gastroenterology hemeonc
Clostridium Dificile Risk by Antibiotic Class Pooled and study-specific risk estimates of community-associated CDI risk by antibiotic
Clostridium Dificile ... Risk by Antibiotic ... #CDifficile #Infection ... #Clindamycin #Clostridium ... #Table #Comparison
Debridement and Management of Prosthetic Joint Infection (PJI) Duration of symptoms <3 weeks OR <30 days
Prosthetic Joint Infection ... whether benefit > risk ... sx of relapsed infection ... Prosthetic #Joint #Infection ... #treatment #Debridement
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... serious bacterial infections ... components of the algorithm ... Infant #StepByStep #Algorithm ... #LP #Antibiotics
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
Other positives: PJP ... invasive fungal infection ... surfaces - Infections ... useful in high risk ... Galactomannan #diagnosis #comparison
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
Appendectomy may decrease risk ... disease ~= Increased risk ... Infection (CMV, ... prolapse, CD, cancer Treatment ... diagnosis #management #algorithm
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
if SSTI or port infection ... abdominal pain; full infectious ... 500 → may stop antibiotics ... allopurinol 300 mg BID ... mg/dL or > 25 % rise
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... mortality benefit • PPI ... endoscopic banding • Antibiotics ... RR of bacterial infection ... without increased risk
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